| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 235 HIGHLANDIA DRIVE SUITE 200 BATON ROUGE, LA 70810 | BLUE CROSS BLUE SHIELD OF LOUISIANA | $5K | $6K | $11K | 0.39% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | TWO PIERCE PLACE 21ST FLOOR ITASCA, IL 601431203 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $41K | $5K | $46K | 12.64% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST INCTX | 840 GESSNER RD STE 600 HOUSTON, TX 770244145 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $21K | $417 | $21K | 5.79% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 3850 N. CAUSEWAY BLVD STE 1050 METAIRIE, LA 70002 | SOUTHERN NATIONAL LIFE | $5K | — | $5K | 3.75% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 235 HIGHLANDIA DRIVE SUITE 200 BATON ROUGE, LA 70810 | NATIONAL GUARDIAN LIFE | $2K | — | $2K | 6.57% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 3850 N. CAUSEWAY BLVD STE 1050 METAIRIE, LA 70002 | NATIONAL GUARDIAN LIFE | $1K | — | $1K | 3.42% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 375 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 378 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF LOUISIANA | 736 | $2.9M |
| Dental | SOUTHERN NATIONAL LIFE | 278 | $125K |
| Vision | NATIONAL GUARDIAN LIFE | 233 | $34K |
| Life insurance | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 377 | $363K |
| Short-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 377 | $363K |
| Long-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 377 | $363K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF LOUISIANA | 736 | $2.9M |
| Other | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 377 | $363K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 736 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.